# JAIME A. BALAGUER, JR., O.D., PA

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Flamingo Falls Eye Care
- **Organization subpart:** No

## Provider details

- **NPI number:** 1013245331
- **Authorized official:** DR. JAIME A. BALAGUER JR. O.D. (OPTOMETRIST)
- **Authorized official phone:** (954) 433-1490

## Contact information

- **Practice address:** 1770 NW 122ND TER, PEMBROKE PINES, FL 33026-1967
- **Practice address phone:** (954) 433-1490
- **Practice address fax:** (954) 433-0994
- **Mailing address:** 1770 NW 122ND TER, PEMBROKE PINES, FL 33026-1967
- **Mailing address phone:** (954) 433-1490
- **Mailing address fax:** (954) 433-0994

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 152W00000X | Optometrist | OPC3869 | FL | Yes |

## Other

- **Enumeration date:** 11/24/2009
- **Last updated:** 12/22/2016

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 621290500 | — | FL |